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Few of the pupils had been informed that they could contact the school nurse during the school closure or had used the online chat service or helpline.

People with genetic aortopathies should be given information on their diagnosis and support to find safe, enjoyable activities. Many also need psychosocial support.

The registered nurses demonstrated a higher level of competence than the nursing associates and healthcare assistants. However, scores were too low in all three groups in response to emergency scenarios.

More and more studies are examining systems for early detection of clinical deterioration in non-hospital settings, but few have focused on older people and primary care.